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Pharmacy CSR (Inbound Call Center) PST Hours Remote

  • Full Time, remote
  • Home Health Focus AI
  • United States, United States of America
Salary undisclosed

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Employer Industry: Healthcare Services

Why Consider This Job Opportunity

  • Opportunity for career advancement and growth within the organization
  • Work remotely Monday through Friday from 10 AM to 6:30 PM PST
  • Competitive benefits and compensation package
  • Chance to work in a supportive and collaborative environment
  • Ability to make a meaningful impact on member care and pharmacy services

What To Expect (Job Responsibilities)

  • Handle and record inbound pharmacy calls from members, providers, and pharmacies while adhering to regulations and guidelines
  • Coordinate and process pharmacy prior authorization requests and appeals
  • Communicate plan benefit information effectively, including formulary details and copay amounts
  • Assist members and providers with initiating coverage determinations and appeals
  • Maintain accurate records of calls in the call tracking system

What Is Required (Qualifications)

  • High School Diploma or GED equivalent
  • 1-3 years of call center or customer service experience
  • Ability to meet specific quality and quantity standards
  • Strong communication skills to explain policies and guidelines
  • Experience with clerical services and day-to-day operations

How To Stand Out (Preferred Qualifications)

  • Associate degree
  • 3-5 years of experience in the healthcare industry
  • National pharmacy technician certification

#HealthcareServices #CustomerService #RemoteWork #CareerOpportunity #CompetitiveBenefits

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